September 2026

Articles

Ear Pain: Diagnosing Common and Uncommon Causes

Stacie Ann Kasper, Jeffrey D. Quinlan

Otalgia, or ear pain, presents as primary (ie, originating from the ear) or secondary (ie, referred from nonotologic sources). Evaluation should include a focused history and physical examination, with further assessment for concerning or persistent findings.

CME

Physical Therapy: Rehabilitation Principles, Coordination, and Collaboration

Kent H. Do, Alexander C. Knobloch, Carlton J. Covey

Family physicians can coordinate and collaborate with physical therapists by identifying patients for referral, using core rehabilitation principles to bridge care, and understanding the effectiveness of modalities used by physical therapists to augment neuromuscular re…

Spondyloarthropathies

Alexander R. Kim, Jake Van Weezep, Taran W. Silva

Spondyloarthropathies are inflammatory syndromes that share genetic predisposition (HLA-B27) and clinical findings such as inflammatory back pain, peripheral arthritis, dactylitis, and enthesitis.

Cognitive Behavior Therapy

Meredith L. C. Williamson, Kaylee Frutiger, Danielle L. Terry

Cognitive behavior therapy is an evidence-based, time-limited psychotherapy that uses goal-oriented interventions to treat various mental and physical health conditions across the lifespan. It is used alone or with medication to modify maladaptive thinking and behavior patterns.

Foodborne Illness: Diagnosis and Management

Alexis Reedy-Cooper, Juan Perez, Theresa Yurkonis

Causes of foodborne illness include viruses, bacteria, and parasites. Management is guided by exposure history, host risk factors, and disease severity. Treatment is mostly supportive, focusing on rehydration and symptom relief. Antibiotics are reserved for select patients.

Editorials

The Power of Primary Care to Improve Health

Sumi M. Sexton, Sarina Schrager, Dean A. Seehusen, Christopher P. Morley, Caroline Richardson, Jon Neher, James DomDera

Primary care is the foundation for improved health in the United States but remains under-resourced and challenged to maintain its workforce.

Addressing Overmedicalization of Mental Health Symptoms in Primary Care

Michael Harding, Colin M. Smith, Eric Meyer

Premature diagnostic labeling may medicalize normal emotional responses and expose patients to unnecessary treatment.

Cochrane for Clinicians

Efficacy and Safety of RSV Vaccines

Andrew Foley

Respiratory syncytial virus (RSV) vaccines reduce RSV-associated respiratory tract illness in older adults. RSV vaccination of pregnant patients reduces lower respiratory tract infections that require medical attention in their infants, including hospitalization due to RSV…

Opioid Agonist Therapy for OUD in Primary Care vs Specialty Care

Vasav Chodisetty, Yuriko Terada, Kento Sonoda

Opioid agonist therapy for opioid use disorder delivered in primary care vs specialty care may result in increased rates of abstinence from nonprescribed opioids; however, it does not result in a difference in treatment retention, quality of life, or adverse events

Lown Right Care

Benefits and Risks of Testosterone Replacement Therapy in Men

Andy Lazris, Alan R. Roth

A collaboration between AFP and the Lown Institute promotes a vision of delivering health care that is based on the evidence, balanced in its approach, and focused on the patient.

FPIN's Clinical Inquiries

Optimal Duration of Antibiotic Treatment for Gram-Negative Bacteremia

Elin Kondrad, Kathryn Seitz, Erika Burke, Sarah Villere

Clinicians should treat patients with uncomplicated gram-negative bacteremia with antibiotic therapy for 7 days. In comparing 7 vs 14 days of therapy, there are no differences in rates of 90- or 30-day all-cause mortality or several other factors.

Photo Quiz

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Rash on Both Feet

Nguyet-Cam Lam, Tomomi Mitsuzuka

Photo Quiz

Painful Layered Nails

Robert Rampton, Navneet Dhanoa

Photo Quiz

Point-of-Care Guides

Determining the Risk of Lower Extremity Amputation in Patients With Diabetic Foot Ulcer

Mark H. Ebell

In patients with a diabetic foot ulcer, how likely is a lower-extremity amputation?

STEPS

Zoliflodacin (Nuzolvence) for Treatment of Uncomplicated Gonorrhea

Fa'iz Bayo-Awoyemi

Zoliflodacin (Nuzolvence) is a single-dose oral antibiotic in the spiropyrimidinetrione drug class. This class of bactericidal antibiotics inhibits DNA synthesis and has shown in vitro activity against drug-resistant strains of Neisseria gonorrhoeae.

Curbside Consultation

Caring for Families Affected by Immigration Enforcement

Triveni DeFries, Theresa Cheng

A trauma-informed approach to discussing immigration-related stressors centers on validation, transparency, and respect for autonomy. Patients should be reassured that care is provided regardless of immigration status.

POEMs

Practice Guidelines

Postpartum Physical Activity and Sleep: Guidelines From the Canadian Society for Exercise Physiology

J. Caleb Coomes, Severiano B. Acebo, Emily L. Crossman

The Canadian Society for Exercise Physiology published guidelines regarding physical activity and sleep in the postpartum period.

Vasectomy: Guidelines From the American Urological Association

James J. Arnold, Bradley Green, Chandani Hamal

The American Urological Association (AUA) published guidelines for performing vasectomy and counseling patients before and after the procedure.

Medicine by the Numbers

Interventions for Smokeless Tobacco Cessation

Brandon T. Sanford, Brooke Lemmen

A color designation of green (benefits greater than harms) is given for behavioral counseling, brief advice, nicotine replacement therapy, and varenicline as safe and effective interventions for smokeless tobacco cessation.

Letters to the Editor

Corrections

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Correction

Incorrect drug classification. In “Heat-Related Illnesses” (April 2026, p. 369), loperamide was assigned to the wrong drug class in Table 2. The online version of the article has been corrected.

Funded Educational Content

CME Course Information

Evidence-based Medicine Toolkit

Strength of Recommendation Taxonomy

Advertising: Career Opportunities (PDF download)

Disclosures

All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.

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